T HE N EW Y ORK C ITY D EPARTMENT OF E DUCATION
Carmen Fariña, Chancellor
OFFICE OF THE CHANCELLOR
52 Chambers Street - New York, NY 10007
Please print this form, complete the hard copy, and send it to the purchaser of services
SYSTEMWIDE PROFESSIONAL SERVICES REQUIREMENTS
CONTRACT WORK ORDER
This work order is required prior to issuing a purchase order to ensure that the region/operation center/school/office and
the vendor are in agreement as to the terms of the purchase. No purchase order will be issued without a complete and
signed work order. This work order does not replace the contract terms. Rather, it explains the terms for this specific
engagement.
Pricing and services must be wholly consistent with the terms and
conditions of the contract.
VENDOR NAME: Date Issued
ADDRESS:
District # School
CONTACT:
TEL./FAX: Contract # Vendor #
E-MAIL:
I hereby certify that the attached scope of work accurately and completely describes the work to be performed and is consistent
with the terms of the above-referenced contract.
____________________________________________________ _______________
Authorized Vendor Signature Date
____________________________________________________ ________________
Signature of Principal/Superintendent or designee Date
………………………………………………………………..FOR DEPT. OF EDUCATION USE ONLY………………………………………...
Purchase Order Number ______________________
Location Code______________________________